Provider Demographics
NPI:1881854719
Name:TRIMBLE, MICHAELA K (LPC)
Entity type:Individual
Prefix:MS
First Name:MICHAELA
Middle Name:K
Last Name:TRIMBLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:RINGOES
Mailing Address - State:NJ
Mailing Address - Zip Code:08551-0100
Mailing Address - Country:US
Mailing Address - Phone:908-524-6505
Mailing Address - Fax:727-425-7835
Practice Address - Street 1:221 RIVER ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5989
Practice Address - Country:US
Practice Address - Phone:908-524-6505
Practice Address - Fax:727-425-7835
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00370000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional